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New Hampshire rates for HCPCS 50431

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access

Facilitymedian $2,399 · 10th–90th $525$9,7720%20%10th90th$2,399Professionalmedian $178 · 10th–90th $65$6310%5%10th90th$178$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $131.83 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,412.54 / $3,467.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $223.87 / $707.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $263.03 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $3,630.78 / $7,943.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $213.80 / $776.25
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $50.12
Well Sense
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58